Coraco-clavicular screw fixation with ligaments suture: a simple treatment of acromioclavicular joint dislocation

Purpose: the aim of this study is to evaluate the results of Coraco-clavicular screw fixation with ligaments suture for the treatment of complete acute acromioclavicular joint [ACJ] dislocation

---

Material and methods: eighteen patients with complete ACJ dislocation were treated operatively in El-Minia University Hospital. According to the classification of Rockwood and colleague's they had type ill, IV or V lesion. They were operated within three weeks of injury by Coraco-clavicular screw fixation with suture of the Coraco-clavicular ligaments. There was a postoperative immobilization of the injured shoulder for 3 weeks

---

Results: follow-up period ranged from 6 months to 2 years. Sixteen patients achieved excellent outcome with full range of shoulder movement and pain free. One patient developed chronic shoulder pain [Follow-up X-rays revealed mild subluxation of the acromio-clavicular joint] and one had painful hypertrophic surgical scar

---

Conclusion: our results indicate that this procedure can be recommended